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1720114945
DEI'ANDRA IESHA GREEN
COMPTON, CA
NPI
1720114945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-02-23
Last Update Date
2007-07-08
Business Address
Ms. DEI'ANDRA IESHA GREEN
2200 N LOCUST AVE
COMPTON, CA 90221-1323
Phone number: 310-279-0867
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Mailing Address
Ms. DEI'ANDRA IESHA GREEN
2200 N LOCUST AVE
COMPTON, CA 90221-1323
Phone number: 310-279-0867
Copy
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